Provider Demographics
NPI:1568591923
Name:DUFFY, BRIDGET Z (MD)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:Z
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 E WESTVIEW CT STE B
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1376
Mailing Address - Country:US
Mailing Address - Phone:509-626-9430
Mailing Address - Fax:509-277-7070
Practice Address - Street 1:1111 E WESTVIEW CT STE B
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1376
Practice Address - Country:US
Practice Address - Phone:509-626-9430
Practice Address - Fax:509-277-7070
Is Sole Proprietor?:No
Enumeration Date:2007-03-03
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD68930208000000X
GA64364208000000X
WAMD60907503208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD153547ZAKHMedicare PIN